NewYork-Presbyterian Hospital · 1 day ago
Precertification Specialist - Central Billing Office
NYP/Weill Cornell Medical Center
Full-time
Onsite
Entry Level
$26.50/hr - $35/hr
1+ years expNewYork-Presbyterian Hospital is an 862-bed medical center affiliated with Weill Cornell Medicine, dedicated to providing high-quality and compassionate care. The Precertification Specialist is responsible for the timely processing of pre-certification requests, ensuring compliance with payer requirements, and minimizing claim denials to support the revenue cycle and enhance patient satisfaction.
Health CareHospitalMedical
Responsibilities
Responsible for ensuring the timely and accurate processing of pre-certification requests by verifying insurance coverage, obtaining necessary authorizations (via internet, telephone, and/or fax), using/documenting within the Electronic Health Record (EHR) system, and maintaining compliance with payer requirements
This role is essential in minimizing claim denials and supporting a smooth revenue cycle to enhance both patient satisfaction and organizational financial health
Qualification
Required
High School diploma or GED
One year of related experience
Must know insurance verification, obtaining insurance precertification, human relationship skills, and the EHR (Electronic Health Record). Working knowledge or familiarity with medical terminology is preferred, and an understanding of various services and procedures performed by the organization
Requires proofreading and organizational skills, computer data entry, knowledge of medical terminology, multi-tasking, and time management skills, as well as the EHR (Electronic Health Record). Excellent interpersonal, oral, and written communication skills
Must be able to foster teamwork to accomplish projects
Proficient in Microsoft Office Programs such as Outlook, Word, and Excel
Analytical skills, critical thinking, problem identification, and identifying alternative courses of action
Problem identification, identifying alternative courses of action, and resolving conflicts. Notify the supervisor of authorization problems to de-escalate issues
Needs to be able to work independently and follow the protocols and processes in place. If decisions are not covered by established protocols currently in place, you will need to notify the appropriate supervisor in regard to appropriate direction. Demonstrates honesty, reliability, and confidentiality
Preferred
Bachelor degree
Benefits
Comprehensive and competitive benefits that support you and your family in every aspect of life
Recognition for your experience, education, and licensure
Countless opportunities for personal and professional growth
Dynamic environment that embraces every person
Company
NewYork-Presbyterian Hospital
At NewYork-Presbyterian, we put patients first.
10001+ employees
H1B Sponsorship
NewYork-Presbyterian Hospital has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (7)
2022 (6)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageLeadership Team
Michael Isler
Executive Protection Specialist For the CEO/President of NYP
Megan McCarthy
Co-Founder of NYP Global Rehabilitation
Recent News
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